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c ped or dr. ed ( or both)

Posted by paula on 8/26/01 at 13:36 (058033)

forgive me it i've been posting too much driving you guys nuts with this. (if i'm goin nuts i'm taking someone with me). so my physiatrist says i should get a plastic custom ufo with modifications for my posterior tibial tendon dysfunction and other foot problems. i talked to the orthotist who makes it. neither one of them knows all that much about pttd, so he said i should bring the internet article on all the features like lateral posts and medial posts and a zillion other things. do i need a podiatrist too before i get this thing made to tell the orthatist exactly what to do, or is his cast of my foot going to tell him what is needed? he seemed real confident. i hate to spend all this money and not get the right thing and i also hate to get a pod involved cause that is even more money if i don't need to.

Re: c ped or dr. ed ( or both)

BG CPed on 8/26/01 at 18:32 (058044)

In a nice way I would perhaps seek out a different orthotist or a pod that knows orthotics. If what you say is true the orthotist SHOULD not need to be told what/how to deal with ptti. It is ok if he is open to suggestions from a patient or able to answer questions but if he as you say 'didnt seem to know' he may be better with hip, spinal or upper extremity bracing.

What city are you near? you want a good device but not overkill. I see too many that get a big plastic afo that goes up the leg that in many cases is too much brace. There is a place for them but I would rather exhaust the in shoe device and proper footwear first.

Re: c ped or dr. ed ( or both)

paula on 8/26/01 at 20:10 (058052)

i'm in atlanta. do you have anyone you want to recommend?

Re: c ped or dr. ed ( or both)

BG CPed on 8/26/01 at 20:20 (058056)

I do not know anyone personally in Atlanta. I think Dr Z or Davis mentioned a person on another thread. Do you ever travel? may be worth a trip somewhere

Re: c ped or dr. ed ( or both)

Beverly on 8/27/01 at 15:44 (058123)

Paula,

I'm just another patient. But after several failed attempts with orthodics, I can tell you how I found my present set that I've found helpful (even if I am a long way from cured). I called both my foot/ankle orthopedic surgeon and several others foot/ankle orthopedic specialists in the phone book and asked the nurse who their office reccommended. A couple of names kept popping up. I then 'interviewed' those two places. The one I picked had the head guy with a college degree in orthodics. I liked that extra education. I also picked a place that makes their orthodics 'in house' rather than sending them out. My guy was quite familiar with posterior tibial tendonitis which I have. I insisted that since I was a 'bad' case, I would wanted to see the orthodist himself and not one of his assistants.
Good luck,
Beverly

Re: Correction on term for the specialist

Beverly on 8/27/01 at 15:51 (058126)

Opps. I don't mean he had a degree in orthodics. I've got the wrong name. I think the right word is 'orthodist.' Cped can give us the correct term, but it is a person with a degree in not only in making orthodics but also appliances for the leg like artificial limbs. I'm not sure how long they go to school or what type of degree it is. Maybe Cped can tell us that too.
Beverly

Re: Correction on term for the specialist

beverly, a qustionf or you on 8/27/01 at 18:33 (058148)

what exactly, did he make for you and also who is he, maybe i can call him and he knows of an orthodist with a degree near me.

Re: Correction on term for the specialist

BG CPed on 8/27/01 at 21:20 (058171)

The 3 main certifications are CPED Pedorthist, that specialty will focus on foot only, orthotics shoes etc. CP or CPO is a person or ortho/prost they do mainly artifical limbs or prostetics. CO or BOC is orthotist that does everything but tend to focus or specialize in certain areas e.g. hand, spinal, knee and so on. You need to check credentials, some places mostly larger facilities will call people 'orthotist' or 'pedorthist' when they are not board certified. Something like a Dr that goes to a few seminars and calls himself a plastic surgeon. He may be a dermatologist as long as he does not claim to be board certified he is not breaking rules.

You learn a lot in school but you still need hands on and repetition to become skilled. you learn more than you think you know once you are out. A friend of mine said he thought he knew it all when he graduated he did residency at a large re-hab ortho hospital. His first day the first case he had was a guy from Cambodia that he said had a leg like a backwards 1/2 chicken wing and was wraping a tree limb to it for an artificial leg....needless to say he didnt know #$%^ and nothing in school covered that

Re: Correction on term for the specialist

Beverly on 8/27/01 at 22:58 (058190)

Paula,

I'm in Texas. I had several different sets of orthodics from several different places before I found one that worked. If you follow my posts, you know I am a long way from cured. But this set has helped somewhat and I was able to get used to them. ( I couldn't stand to wear the others.) In fact, if I don't have them on, my feet are crying for their orthodics. But what worked for me might be all wrong for you, and as Cped said, much has to do with the skill of the one making them.

I do know that for me, I needed mine made by someone in the area where I live. Even the best orthodics may need adjustments. I've had mine adjusted more than once, and I needed to live nearby so it was feasible to run in and have them 'tweaked.'

As I said, I found my guy through my orthopedic foot and ankle specialist. Since he was not in the orthodics business himself I felt confident that he was giving his unbiased opinion.

Best luck,
Beverly

Re: c ped or dr. ed ( or both)

Ed Davis, DPM on 8/28/01 at 18:24 (058285)

John Ruch, DPM of Atlanta. Not only is he well trained but I believe that his family owns an orhtotic lab. I would certainly get my orthotics from someone who routinely makes devices for PTTD.
Ed

Re: c ped or dr. ed ( or both)

BG CPed on 8/26/01 at 18:32 (058044)

In a nice way I would perhaps seek out a different orthotist or a pod that knows orthotics. If what you say is true the orthotist SHOULD not need to be told what/how to deal with ptti. It is ok if he is open to suggestions from a patient or able to answer questions but if he as you say 'didnt seem to know' he may be better with hip, spinal or upper extremity bracing.

What city are you near? you want a good device but not overkill. I see too many that get a big plastic afo that goes up the leg that in many cases is too much brace. There is a place for them but I would rather exhaust the in shoe device and proper footwear first.

Re: c ped or dr. ed ( or both)

paula on 8/26/01 at 20:10 (058052)

i'm in atlanta. do you have anyone you want to recommend?

Re: c ped or dr. ed ( or both)

BG CPed on 8/26/01 at 20:20 (058056)

I do not know anyone personally in Atlanta. I think Dr Z or Davis mentioned a person on another thread. Do you ever travel? may be worth a trip somewhere

Re: c ped or dr. ed ( or both)

Beverly on 8/27/01 at 15:44 (058123)

Paula,

I'm just another patient. But after several failed attempts with orthodics, I can tell you how I found my present set that I've found helpful (even if I am a long way from cured). I called both my foot/ankle orthopedic surgeon and several others foot/ankle orthopedic specialists in the phone book and asked the nurse who their office reccommended. A couple of names kept popping up. I then 'interviewed' those two places. The one I picked had the head guy with a college degree in orthodics. I liked that extra education. I also picked a place that makes their orthodics 'in house' rather than sending them out. My guy was quite familiar with posterior tibial tendonitis which I have. I insisted that since I was a 'bad' case, I would wanted to see the orthodist himself and not one of his assistants.
Good luck,
Beverly

Re: Correction on term for the specialist

Beverly on 8/27/01 at 15:51 (058126)

Opps. I don't mean he had a degree in orthodics. I've got the wrong name. I think the right word is 'orthodist.' Cped can give us the correct term, but it is a person with a degree in not only in making orthodics but also appliances for the leg like artificial limbs. I'm not sure how long they go to school or what type of degree it is. Maybe Cped can tell us that too.
Beverly

Re: Correction on term for the specialist

beverly, a qustionf or you on 8/27/01 at 18:33 (058148)

what exactly, did he make for you and also who is he, maybe i can call him and he knows of an orthodist with a degree near me.

Re: Correction on term for the specialist

BG CPed on 8/27/01 at 21:20 (058171)

The 3 main certifications are CPED Pedorthist, that specialty will focus on foot only, orthotics shoes etc. CP or CPO is a person or ortho/prost they do mainly artifical limbs or prostetics. CO or BOC is orthotist that does everything but tend to focus or specialize in certain areas e.g. hand, spinal, knee and so on. You need to check credentials, some places mostly larger facilities will call people 'orthotist' or 'pedorthist' when they are not board certified. Something like a Dr that goes to a few seminars and calls himself a plastic surgeon. He may be a dermatologist as long as he does not claim to be board certified he is not breaking rules.

You learn a lot in school but you still need hands on and repetition to become skilled. you learn more than you think you know once you are out. A friend of mine said he thought he knew it all when he graduated he did residency at a large re-hab ortho hospital. His first day the first case he had was a guy from Cambodia that he said had a leg like a backwards 1/2 chicken wing and was wraping a tree limb to it for an artificial leg....needless to say he didnt know #$%^ and nothing in school covered that

Re: Correction on term for the specialist

Beverly on 8/27/01 at 22:58 (058190)

Paula,

I'm in Texas. I had several different sets of orthodics from several different places before I found one that worked. If you follow my posts, you know I am a long way from cured. But this set has helped somewhat and I was able to get used to them. ( I couldn't stand to wear the others.) In fact, if I don't have them on, my feet are crying for their orthodics. But what worked for me might be all wrong for you, and as Cped said, much has to do with the skill of the one making them.

I do know that for me, I needed mine made by someone in the area where I live. Even the best orthodics may need adjustments. I've had mine adjusted more than once, and I needed to live nearby so it was feasible to run in and have them 'tweaked.'

As I said, I found my guy through my orthopedic foot and ankle specialist. Since he was not in the orthodics business himself I felt confident that he was giving his unbiased opinion.

Best luck,
Beverly

Re: c ped or dr. ed ( or both)

Ed Davis, DPM on 8/28/01 at 18:24 (058285)

John Ruch, DPM of Atlanta. Not only is he well trained but I believe that his family owns an orhtotic lab. I would certainly get my orthotics from someone who routinely makes devices for PTTD.
Ed